HomeMy WebLinkAboutPermit Mechanical 2006-12-22
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'.
, ~ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01644
ISSUED: 12122/2006
APPLIED: 12/22/2006
EXPIRES: 06/22/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4531 FRANKLIN BLVD SPACE 110 Eugene
ASSESSOR'S PARCEL NO.: 1703344400301
TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace Furnace
Owner: SHAMROCK PARTNERS LLC
Address: 770 TAMALPAIS SPACE 401 B
CORTE MADERA CA 94925
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
08/3112008
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building,
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS 1
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsmrains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
.
.ITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01644
ISSUED: 12/22/2006
APPLIED: 12/22/2006
EXPIRES: 06/22/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
$10.00
$4.50
$2.25
$3.60
$12.00
$33.00
12/22106
12122/06
12/22106
12122/06
12/22/06
12/22/06
Receipt Number
2200600000000001739
2200600000000001739
2200600000000001739
2200600000000001739
2200600000000001739
2200600000000001739
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Total Amount Paid
$65.35
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
IR"'L\I,ir"t1I~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechaoical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used 00 this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction. .
Owner or Contractors Signature
Date
Paee 2 of2
.
City of Springfield
tChanical Authorization To Begin Wor.
E-mailedTo:brandy@associatedheating.com
Receipt # EC507257
12/22/2006 10:01 :40 AM
.'
Check on status of permit:
Contact: http://www.ci.springfield.or.us/dsdlBuilding/index.btm
o Accessory Building
II
II Description
I Heating/cooling appliances
I I Fumace- up to 100,000 BTU
II Furnace - above 100,000 8TU
I I Electric Furnace
I I Duct alterations and additions
I I Gas heater unitsl in-wall, in-
duct susoended. ctcf
II Vent, flue, liner for above
j Air Conditioner
I Heat Pump
I Air Handler
I' Other ruel burning appliances
I Water heater
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
. I Pool or spa heater, kiln
I Wood/pellel stove/insert
I Wood fireplace
Chimneyllinerlf1ue/vent w/o
aDoliance
Environmental exhaust AND ventilation
FEE SCHEDULE
I Qty. I
Ea,
I [X] I or 2 family dwelling
D Multi-family
11
$12,001
I
Total I
I
$12,001
I
I
I
I
I
I
I
I
TYPE OF WORK
I D New construction
IX) Addition/alteration/replacement
,/,' CATEGORY OF, qONSTRUCTION.
JOB SITE INFORMATION AND LOCATION
lJob no.: 3069A IJob address: 4531 FRANKLIN BLVD
1 City/StatefZIP: EUGENE, OR 97403-2443
lSuitelbldgJapt.no.: SPC 110
I Project name:
Cross street/directions to job site:
not offered online at this jurisdiction
not offered online at this jurisdiction
I Subdivision:
ITu map/parcel no.:
I Lot 00,:
1703344400301
DESCRIPTION'OF WORK' '
Replace furnace
I SITE CONTACT
IName: Brandy Forsman
I Pboae: (541) 683-2590 IF..:
I Email: brandy@associatedheating.com
CONTRACTOR
I
I
I
I I Range bood
I Clothes dryer exhaust
I I Single-duct exhaust (bathrooms,
I toilet compartments, utility
1 rooms)
I Attic/crawlspace fans
I I Fuel pipiog
I I upto firsl4 outlets(enterQty=l)
I I each additional outlet
I I MECHANICAL PERMIT FEES
II
I
IceD lIe.no.: 106275
I Business Name: ASSOCIATED HEATING & AIR CONDlTIONI
I Contact: Brandy Forsman
Address: PO BOX 412
I CitylS"UelZIP: EUGENE, OR 97440
IPbooe: 5416832590 IF..: 5416070287
I Email: brandy@associatedheating.com
I Metro lie no.: I City lie no.:
Upon review and approval by your local jurisdiction, your
permit will be e-malled or faxed within one business day,
with Instructions on how to schedule your Inspection.
I
I
. City Of Springfield
$10 Issuance Fee
I
I
I
I
Sublo",1 $12,00 I
Minimum Fee $45.00 I
State Surchar~e (8% of~rmit fee) $3.60 I
Ci!,: OfSDrin~field fees. $16.75 I
TOTAL PERMIT FEE $65,35 1
10010 Local Admin Fee; 5% Local Technology Fee;
NOTE: This Authorization To Begin Work expires within 180
days If a permit Is not obtained.
The local building department may determine that an
Authorization To Begin Work Is null and void If It does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
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<& of Springfield Official Receipt
.Iopment Services Department
Public Works Department
RECEIPT #:
2200600000000001739
Date: 12/22/2006
10:34:14AM
Job/Journal Number
COM2006-0 1644
COM2006-0 1644
COM2006-0 1644
COM2006-01644
COM2006-0 1644
COM2006-0 1644
Description
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
12,00
33,00
10,00
2,25
3,60
4,50
$65.35
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
ddk
ONLINE Associated Online
Heating &
Air
Conditioning
Payment Total:
$65.35
$65.35
cReceint 1
Page 1 of I
12/22/2006